Individual
EYLIM JULISSA QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 VIA VERDE STE 200, SAN DIMAS, CA 91773-3993
(909) 599-1227
Mailing address
180 VIA VERDE, SAN DIMAS, CA 91773-3993
(909) 599-1227
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
08/15/2024
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